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DR. BRENT CLARENCE JACKSON M.D.
NPI 1346229382
Surgery in Redlands, CA

Active since January 10, 2006PECOS Enrolled
2 W FERN AVE, REDLANDS, CA 92373(909) 793-3311 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brent Clarence Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT CLARENCE JACKSON M.D. (NPI 1346229382) is an individual surgery provider in Redlands, California, licensed in California (A64902) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346229382
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRENT CLARENCE JACKSONCredential: M.D.
Location Address2 W FERN AVERedlands, CA 92373-5916
Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188
Phone(909) 793-3311
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJune 17, 2014
✔ NPI 1346229382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A64902
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 W FERN AVE, Redlands, CA 92373
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Other Identifiers 6

Other00A649020CA · Blue Shield Of Ca
Medicare ID-Type UnspecifiedW17033A
Other113712291Blue Cross Of Ca
Other113712291 92123 0000Wps Tricare
Medicare UPINH43894
Medicaid00A649020CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent Clarence Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA L PACHECO AGACNP
Nurse Practitioner (Acute Care)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MRS. LISA C ANDERSON N.P.
Nurse Practitioner
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MR. LUIS A SANCHEZ DO
Anesthesiology
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MADISON TUCKER ZAGURSKI PA-C
Physician Assistant (Medical)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 792-2605
DR. BRADLEY BASINGER M.D.
Surgery
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
JOHN W MORTENSEN M.D.
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
NARMISHA VIJAY PATEL M.D
Hospitalist
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 583-2741
DR. KEVIN JAN CHAN MD
Hospitalist
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Jackson's NPI number?

The NPI number for Brent Jackson is 1346229382. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Brent Jackson located?

Brent Jackson practices at 2 W Fern Ave, Redlands, CA 92373. The listed phone number is (909) 793-3311.

What is Brent Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brent Jackson enrolled in Medicare?

Yes. Brent Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Jackson was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.